Individual
BRANDI MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 W 213TH ST STE 100, TORRANCE, CA 90501-2852
(310) 328-0276
Mailing address
787 FREEMAN AVE, LONG BEACH, CA 90804-4909
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3653
CA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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